At-Home Pain Management
Experiencing soreness and discomfort is a common part of the orthodontic journey, particularly after braces are first placed or adjusted. This results from the pressure applied to the teeth as they begin to shift. Most general soreness is temporary, often subsiding within a few days to a week after an adjustment.
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can effectively manage this discomfort by reducing inflammation and dulling pain signals. Taking these medications as directed can provide relief, particularly before an adjustment to preemptively reduce anticipated soreness. Applying a cold compress or ice pack to the outside of the mouth for 10 to 20 minutes can also help numb the area and reduce swelling.
Consuming soft foods is another effective strategy to minimize discomfort, especially during the first few days when chewing can be sensitive. Opting for foods like mashed potatoes, yogurt, smoothies, and soft-cooked pasta can prevent additional pressure on tender teeth and gums. Rinsing the mouth several times a day with a warm salt water solution can also promote healing and reduce inflammation.
Handling Specific Irritations
Beyond general soreness, specific irritations can arise from the braces themselves, often caused by brackets or wires rubbing against soft tissues. Orthodontic wax provides a simple yet effective barrier to protect the cheeks, lips, and tongue from these abrasive surfaces. A small, pea-sized piece of wax can be rolled into a ball and pressed gently over any bracket or wire causing irritation, creating a smooth surface.
Sometimes, a wire may shift or protrude, causing it to poke the inside of the mouth. If safe, a clean cotton swab or pencil eraser can gently push the offending wire back into a comfortable position. If the wire cannot be repositioned, covering the sharp end with orthodontic wax is the best immediate solution until you can see your orthodontist.
Braces can sometimes lead to mouth sores or canker sores due to friction or minor trauma. Maintaining good oral hygiene, including regular brushing and flossing, helps keep the mouth clean and reduces infection risk. Over-the-counter oral rinses or topical gels for canker sores can also provide temporary relief and aid healing.
When to Contact Your Orthodontist
While many discomforts with braces can be managed at home, certain situations warrant contacting your orthodontist. Persistent or severe pain that does not respond to over-the-counter pain relievers or other home remedies may indicate a more significant issue. This suggests an underlying problem needing attention to prevent prolonged discomfort.
Instances of broken or loose brackets are also reasons to schedule an appointment. A broken bracket can affect tooth movement and may cause irritation. Similarly, a severely bent or broken wire can impede treatment progress and potentially cause discomfort or injury.
Any significant issue with the braces, such as a band coming loose, should be reported promptly. Addressing these mechanical issues quickly can prevent further damage, minimize discomfort, and ensure treatment stays on schedule.